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● Active Type 2 · Organization

St Luke'S Humphreys Diabetes Center Inc

Dietitian, Registered·Boise, ID· NPI 1306984729 · Enumerated 2007 · 19 years on NPI
St Luke'S Humphreys Diabetes Center Inc is 1 of 505 dietitian, registered organizations in Idaho.
NPI age
19 years
Enumerated 2007-02-01
Primary specialty
Dietitian, Registered
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Scanlon
Executive Director
Last NPPES update
2011-07-28
Source: monthly bulk 2026-05

How this organization compares

Across 505 active dietitian, registered providers in Idaho.

NPI age
19 years
↑ 12 yr above median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 15% of peers with subspecialties

NPI lifetime · 2007 → 2026

2007-02Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
1226 W River St
Boise, ID 837027049
📞 2083311155fax 2083830190
Mailing address
1226 W River St
Boise, ID 837027049
📞 2083311155fax 2083830190

Authorized official

Robert Scanlon
Executive Director
📞 2083311155

Individual providers at this organization

20 individual providers on file at this primary practice address.

Specialties

Dietary & Nutritional Service Providers › Dietitian, Registered
  • Dietitian, Registered Primary
    A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based...
    taxonomy 133V00000X
  • Durable Medical Equipment & Medical Supplies
    A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
    ID license #4366980001 taxonomy 332B00000X

Identifiers

TypeValueNotes
01 (ID) 000010170136 REGENCE WALTERS
05 (ID) 807850000
05 (ID) 806348400
01 (ID) 8G502 BLUE CROSS
01 (ID) 000010013347 BLUE SHIELD

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Humphreys Diabetes Center INC
    Type code 4 recorded 2011-07-28

Practice context

Multi-provider organization. 20 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

Related

Dietitian, Registered organizations in Idaho
→ Idaho hub
About this specialty
→ Specialty guide